I assume the major motive for enacting ACA was to expand coverage, because the number of people lacking any kind of insurance coverage in the U.S. was awful. Problem is, of course, expanding coverage without controlling costs or having sound rationing mechanisms in place will increase utilization and only make total expenditures higher in the long run. ACA doesn't address the cost issue. But, if we're going to insist on spending gobs and gobs of money on health care without reigning in costs to begin with--and we weren't doing that before the legislation and showed no intentions of doing so--, then I'd prefer to have more people covered.
The US is not about making the disease more tolerable, and no matter how hard the left bleats in this country, they are never going to be satisfied by their own half-assed political agenda. They aren't satisfied with Welfare and Medicaid now, yet all we do is spend more money and expand benefits. Expanding coverage to treat the symptoms of the disease only makes the problem worse.
I just had another client come in today. He's 71, works full-time with gross income around $100,000/year. He also collects $20,000 in Social Security benefits., and pays less than $3,000 in tax on the SS benefits. Yet another "insurance program" run amok. He's not even retired. Expanding coverage and conferring pointless economic benefits has only hastened the decline of our lower-middle class and manufacturing sector. Frivolous health insurance programs will have the same consequence.
This kind of civic malfeasance hides in plain sight, but half of the country is too stupid to see it. They expand coverage and benefits because insurance is good, but all they get is rapid decline. The rest of us just shake our heads. Like listening to drug addicts identify the world's problem as not enough drugs. Sure. Let's see where that gets us.